BELLEVUE, WI —
OSHA Injury Report: 1162 BELLEVUE WI WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1162 BELLEVUE WI WHSE in BELLEVUE, WI 54311 resulted in job transfer or restriction. Employee was gAS STATION ATTD in wholesale Grocer.
Where did this happen?
- Establishment
- 1162 BELLEVUE WI WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 2355 Costco Way
- City
- BELLEVUE
- State
- WI
- ZIP
- 54311
- On-site location
- GAS STATION
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 25
Before the incident
Working on the hose retractor
What happened
Working on the hose retractor [REDACTED] was coming down a ladder and missed the bottom step fell backwards and hit his head
Injury or illness
Concussion Head
Object or substance involved
Floor Walking Surface
Summary line
Concussion Head Fall from Stairs Floor Walking Surface
Employee and industry
- Job description
- GAS STATION ATTD
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 286
- Total hours worked
- 412043
- EIN
- 911223280
- Establishment ID
- 1378780
- Employer case #
- WC413G478
When (timing detail)
- Date of incident
- Shift started
- 9:00
- Time of incident
- 9:34
- Filing year
- 2025
- Submitted
- 28FEB26:00:32:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.